Short report
Pain in cognitively impaired, non-communicating children
P Stallarda, L Williamsb, S Lentonb, R Vellemanc
a Department of Child
& Family Psychiatry, Royal United Hospital, Combe Park, Bath BA1
3NG, UK, b Department of Child
Health, Bath, c University of Bath
Correspondence to: Dr Stallard paul.stallard{at}awp.nhs.uk
Accepted 20
August 2001
AIM
To detail the everyday
occurrence of pain in non-communicating children with cognitive impairment.
METHODSThirty four parents
of cognitively impaired verbally non-communicating children
completed pain diaries over a two week period. Each day, for five
defined periods, parents rated whether their child had been in pain,
and if so, its severity and duration.
RESULTSTwenty five (73.5%)
children experienced pain on at least one day, with moderate or severe
levels of pain being experienced by 23 (67.6%). Four children (11.7%)
experienced moderate or severe pain lasting longer than 30 minutes on
five or more days. No child was receiving active pain management.
CONCLUSIONSEveryday pain in
children with severe cognitive impairment is common, yet is rarely
actively treated.
Keywords: pain; cognitive impairment; non-communicating
© 2001 by Archives of Disease in Childhood
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Arch. Dis. Child. 2001 85: 0.[Extract] [Full Text] [PDF]
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